NPIMap

Organization Active NPI

Guillermo E Brachetta MD PA

  • Surgery Physician
  • Midland, TX
National Provider Identifier
1497047708
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
F5845 Issued in TX
Legal business name
GUILLERMO E BRACHETTA MD PA
Practice address
2300 W Michigan Ave Ste 1
Midland, TX 79701-5855
Phone
(432) 687-0181
Fax
(432) 687-1003
NPI assigned
May 4, 2011
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Guillermo E Brachetta, MDPANPI 1336282664
Title
Owner
Phone
(432) 687-0181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X F5845 TX Primary

Addresses

Primary practice location

2300 W Michigan Ave Ste 1
Midland, TX 79701-5855

Mailing address

2300 W Michigan Ave Ste 1
Midland, TX 79701-5855
Phone (432) 687-0181

National Provider Directory

National Provider Directory

Locations

2300 W Michigan Ave
Ste 1
Midland, TX 79701
Phone (432) 687-0181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1497047708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MICHIGAN AVE STE 1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015855",
            "telephone_number": "432-687-0181",
            "fax_number": "432-687-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MICHIGAN AVE STE 1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015855",
            "telephone_number": "432-687-0181",
            "fax_number": "432-687-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO E BRACHETTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "BRACHETTA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-687-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDPA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.